Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $912.01	Professional		$426.58	$588.84	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,047.13	Professional		$660.69	$870.96	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,584.89	Professional		$446.68	$446.68	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,621.81	Professional		$870.96	$1,096.48	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $741.31 / $1,148.15	Facility		$316.23	$741.31	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,288.25	Professional		$446.68	$446.68	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $537.03 / $1,318.26	Facility		$371.54	$537.03	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $724.44	Professional		$354.81	$489.78	$724.44